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Kinship, Nuptiality and Child Health Outcomes in a Low Income Urban Area

低收入城市地区的亲属关系、婚姻和儿童健康状况

基本信息

批准号：
10447168
负责人：
Sangeetha Madhavan
金额：
$ 50.81万
依托单位：
UNIV OF MARYLAND, COLLEGE PARK
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-19 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10447168
关键词：
Africa Africa South of the Sahara African Age Biological Breast Feeding Child Child Development Child Health Child Welfare Communities Data Data Collection Development Divorce Environmental Risk Factor Equation Etiology Family Fathers Funding Goals Growth Health Health Services Accessibility Household Infant Infant Health Infrastructure Intervention Kenya Legal Longitudinal Studies Low income Marriage Masks Measures Mediating Mediation Mental Health Methodology Methods Modeling Mothers National Institute of Child Health and Human Development Never Married Nuptiality Outcome Pathway Analysis Pattern Personal Satisfaction Process Research Risk Role Sampling Scholarship Site Slum Social Change Socioeconomic Status Surveys System Testing Time Trees Urban Community Urbanization Variant aged base cognitive development cognitive testing early childhood family support follow-up improved innovation instrument men multidisciplinary nutrition public health relevance residence social success tool urban area

项目摘要

Project Summary Despite significant progress in improving child survival, sub-Saharan Africa continues to have some of the worst outcomes for children’s physical growth and early childhood development. This is driven in large part by elevated risks for children living in low-income urban communities. Whereas research has focused on environmental factors, socioeconomic status and access to services, much less effort have gone into understanding how rapid social transformation in marriage and the role of kin impacts children’s well-being in these communities. In this project, we build on the success of an NICHD R21 project to develop and test the Kinship Support Tree (KST) to assess quantity and quality of support from kin to single mothers and their children in a slum context in Nairobi, Kenya. The proposed mixed methods, the longitudinal study develops a new measure of union formalization to examine the relationships among kinship support, union formalization and infant/child development outcomes. The union formalization measure will capture the process of recognizing unions socially and/or legally. The study will be carried out in the same site as the KST project. The site hosts a Health and Demographic Surveillance System (HDSS) which facilitates initial sample selection and provides strong infrastructure. We will conduct rigorous cognitive testing to finalize the questions on union formalization, validate existing relationship quality scales and pretest all instruments in the first year to inform the survey development. We will then start with 1250 children ages 0 – 24 months with mothers aged 18-29 and collect data on the children, mothers and selected kin two times per year over 3 years. Data on kin include geospatial indicators of residence and distance and multiple domains of kinship support. This will be supplemented with qualitative follow up once a year on a subsample of mothers, biological fathers, and current partners. Our analysis will focus on the direct effects of union formalization and kinship support on child outcomes as well as on a set of intermediate outcomes known to be associated with child development. We will use cross-lagged structural equation and growth models to examine the effects of union formalization and kinship support on children’s physical growth and early child development (ECD) over time. We will also assess the extent to which union formalization moderates the effect of kinship support on physical growth and ECD outcomes and kinship support mediates the effect of union formalization on physical growth and ECD outcomes. We will use moderated mediation models to accomplish this. The ultimate goal of the study is to identify models of family support that offer optimum protection for vulnerable mothers and young children.

项目总结